|
S ). Prie6c4D17-iG�i'�6/ � u •.
<br />lV. U. Forni 3 M�
<br />CITY OF EVERETT--Water Dept.
<br />_, � �,�
<br />: '-.=-::...._- � �
<br />` ) � T / I stalI:..-. .'/.�:.-; // ._r.inchl�vater.� .....19'....!
<br />i
<br />Applica,tion Ao......:.....,.:.... .. Da
<br />ii i ,; _ r service pipe
<br />. , , ,, .....
<br />� �o� 1:'.� .................... �� ;... - � �....:..:.-.-_-..; --..... --- ...................
<br />, �
<br />; f l , � �� f �_�._i..._.......:.- .................... St:eet
<br />• �
<br />" On 't........
<br />.................................... .... .,
<br />� r ✓� /� !_ ` - �` Black No...:.:�'..:..---.:�........... -
<br />,.,:./, /_ ,
<br />..... . ..< .................::............
<br />�ddition ...............,_s.......................__.._. �
<br />_ _. ;. �. , . ' --..� � ...,....: r_..:. ......
<br />- � �� . . . _.... :..::.
<br />� . ...:............
<br />Remarks ............._,......................._.
<br />, .
<br />. ..:..................�:.f...�::_.,...r �:'1'�....._......_................._.........................
<br />._,. � _
<br />...._�....�........
<br />� � .............. ... . '
<br />� .., -
<br />/ / _ r (.✓ 1 ' .... ..
<br />; J`r} �`, , ,
<br />%.::? .. ....
<br />,,I',�....:.� ..../...�.._ �:
<br />�•��-- � upeimtendent ---
<br />/� Q . � _
<br />No. �
<br />—_------- �i
<br />LABOli AND MATERIAL USGD
<br />Sizc ----- -
<br />...._...._ —
<br />.__._, � Lead Connection Complete
<br />................._....'I iaddlc ComPlete
<br />i _,
<br />a „ � ; „ � � .........................Pipc
<br />_•, � --..:. �:�...:: �' ..:............ A
<br />. ..._y ..............
<br />, ...._....._... .
<br />.. __�? ai ".... Se:vice Cock
<br />� X�� S vicc Box / � �
<br />c _
<br />3� i {� � ��.e / i� !'.J,7 ':.. . , ....
<br />... .� .... �tJ� ��� .�..�.v C. A-J� ..C".T..:.! r .. ......
<br />�_C �........!_ . .....
<br />, �
<br />._`.. {� � ............. . ,
<br />.......__.__. ,
<br />_ .................... .. . . . �/
<br />�_ �....COSi..�::� �..
<br />�1p. it0111'S L1�J'JL ......................................_..
<br />Cut in.....__._._.....Pavem^_n ....................
<br />.
<br />' ....................X........................
<br />;
<br />� �,:i� A......_ ...............
<br />�,
<br />�, '
<br />,., ,
<br />� � ,� X............_..........
<br />i/ '; - Total _.
<br />........................sn. Ft.
<br />........................ «
<br />...............
<br />..-----..........Sn. Ft.
<br />.........._._ ...........................
<br />.............................................................................. .
<br />. ..._ ......................_............. /
<br />... ..
<br />............................................................................ ........................ %
<br />. . ... ....!
<br />Order Iteceived --
<br />i_ �.� (��/��, c-r� � 0
<br />�,'� ork Comp!eted t -- `�.. � ''i �
<br />. _ .. . _, .. _.. .
<br />?uicm m�
<br />
|